Sepsis Awareness Month: The Role of Hospice in Managing Sepsis at End of Life

Sepsis, a life-threatening organ dysfunction caused by a dysregulated host response to infection, is a significant concern for individuals with terminal illnesses. As we observe Sepsis Awareness Month in September, it is crucial to recognize the critical role hospice care plays in managing sepsis at the end of life. Hospice care ensures that terminally ill patients maintain dignity and comfort in their preferred setting during their remaining time.

Understanding Sepsis in Terminally Ill Patients

Sepsis affects approximately 1.7 million adults annually in the United States, leading to nearly 270,000 deaths . Terminally ill patients are particularly vulnerable to sepsis due to their weakened immune systems and frequent hospitalizations, which increase the risk of infections. The mortality rate for sepsis in this population is exceedingly high, necessitating a compassionate and comprehensive approach to care .

The Role of Hospice Care in Managing Sepsis

Hospice care provides a multidisciplinary approach to managing sepsis, focusing on symptom control, pain management, and psychological support. The primary goals are to enhance the quality of life and ensure comfort for both patients and their families.

1. Symptom Management: Hospice care teams are skilled in recognizing and managing the symptoms of sepsis, such as fever, chills, rapid breathing, and confusion. They employ evidence-based practices to alleviate these symptoms effectively.
2. Pain Management: Pain is a common and distressing symptom in patients with sepsis. Hospice care utilizes a range of pharmacological and non-pharmacological interventions to manage pain, ensuring patients remain as comfortable as possible.
3. Psychological Support: Sepsis can cause significant anxiety and distress for patients and their families. Hospice care includes counseling and support services to help them cope with the emotional burden of the illness.
4. Reducing Hospitalizations: By providing intensive and personalized care at home or in hospice facilities, hospice care can reduce the need for hospitalizations, allowing patients to spend their final days in a familiar and comfortable environment.

Timing of Hospice Referral for Sepsis Patients

Early referral to hospice care is essential for patients with sepsis and a terminal diagnosis. Indicators for hospice referral include:

• Repeated hospitalizations for infections or sepsis.
• Significant decline in functional status.
• Escalating need for symptom management.
• Patient and family preference for comfort-focused care over curative treatments.

Hospice care is integral to managing sepsis in terminally ill patients, providing a dignified and compassionate approach that emphasizes comfort and quality of life. Consider an early hospice referral for patients with sepsis to ensure they receive the most appropriate and effective care. As we mark Sepsis Awareness Month, let us reaffirm our commitment to improving the lives of those affected by this severe condition through timely and specialized hospice care.  Call us today, we are only a phone call away.

References

1. Centers for Disease Control and Prevention. (2022). Sepsis: Data and Reports. Retrieved from https://www.cdc.gov/sepsis/datareports/index.html
2. Mayr, F. B., Yende, S., & Angus, D. C. (2014). Epidemiology of severe sepsis. Virulence, 5(1), 4-11. doi: 10.4161/viru.27372